Gonçalves Fabrício G, Freddi Tomás de Andrade L, Taranath Ajay, Lakshmanan Rahul, Goetti Robert, Feltrin Fabricio S, Mankad Kshitij, Teixeira Sara R, Hanagandi Prasad B, Arrigoni Filippo
Division of Neuroradiology, Children Hospital of Philadelphia, Philadelphia, PA.
Neuroradiology Department, Hcor - Hospital do Coração São Paulo, São Paulo, Brazil.
Top Magn Reson Imaging. 2018 Dec;27(6):395-408. doi: 10.1097/RMR.0000000000000188.
Mutations causing dysfunction of the tubulins and microtubule-associated proteins, otherwise known as tubulinopathies, are a group of recently described entities, that lead to complex brain malformations. An understanding of the fundamental principles of operation of the cytoskeleton and compounds in particular microtubules, actin, and microtubule-associated proteins, can assist in the interpretation of the imaging findings of tubulinopathies. Somewhat consistent morphological imaging patterns have been described in tubulinopathies such as dysmorphic basal ganglia-the hallmark (found in 75% of cases), callosal dysgenesis, cerebellar hypoplasia/dysplasia, and cortical malformations, most notably lissencephaly. Recognizing the common imaging phenotypes present in tubulinopathies can prove invaluable in directing the genetic workup for a patient with brain malformations.
导致微管蛋白和微管相关蛋白功能障碍的突变,也就是所谓的微管蛋白病,是一组最近才被描述的疾病实体,可导致复杂的脑畸形。了解细胞骨架尤其是微管、肌动蛋白和微管相关蛋白的基本运作原理,有助于解释微管蛋白病的影像学表现。微管蛋白病中已描述了一些较为一致的形态学影像学模式,如基底节畸形——这是其标志(见于75%的病例)、胼胝体发育不全、小脑发育不全/发育异常以及皮质畸形,最显著的是无脑回畸形。认识到微管蛋白病中常见的影像学表型,对于指导脑畸形患者的基因检查可能具有极高的价值。